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In-hospital mortality among incident hemodialysis older patients in Peru.

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dc.contributor.author Herrera-Añazco, Percy
dc.contributor.author Ortiz, Pedro J.
dc.contributor.author Peinado, Jesus E.
dc.contributor.author Tello, Tania
dc.contributor.author Valero, Fabiola
dc.contributor.author Hernandez, Adrian V.
dc.contributor.author Miranda, J. Jaime
dc.date.accessioned 2019-08-08T15:23:45Z
dc.date.available 2019-08-08T15:23:45Z
dc.date.issued 2019
dc.identifier.uri https://hdl.handle.net/20.500.12866/7141
dc.description.abstract BACKGROUND: Understanding the pattern of mortality linked to end stage renal disease (ESRD) is important given the increasing ageing population in low- and middle-income countries. METHODS: We analyzed older patients with ESRD with incident hemodialysis, from January 2012 to August 2017 in one large general hospital in Peru. Individual and health system-related variables were analyzed using Generalized Linear Models (GLM) to estimate their association with in-hospital all-cause mortality. Relative risk (RR) with their 95% confidence intervals (95% CI) were calculated. RESULTS: We evaluated 312 patients; mean age 69 years, 93.6% started hemodialysis with a transient central venous catheter, 1.7% had previous hemodialysis indication and 24.7% died during hospital stay. The mean length of stay was 16.1 days (SD 13.5). In the adjusted multivariate models, we found higher in-hospital mortality among those with encephalopathy (aRR 1.85, 95% CI 1.21-2.82 vs. without encephalopathy) and a lower in-hospital mortality among those with eGFR ≤7 mL/min (aRR 0.45, 95% CI 0.31-0.67 vs. eGFR>7 mL/min). CONCLUSIONS: There is a high in-hospital mortality among older hemodialysis patients in Peru. The presence of uremic encephalopathy was associated with higher mortality and a lower estimated glomerular filtration rate with lower mortality. en_US
dc.language.iso eng
dc.publisher Oxford University Press
dc.relation.ispartof urn:issn:1876-3405
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Peru/epidemiology en_US
dc.subject Aged en_US
dc.subject Middle Aged en_US
dc.subject Risk Factors en_US
dc.subject Aged, 80 and over en_US
dc.subject Age Distribution en_US
dc.subject epidemiology en_US
dc.subject health services en_US
dc.subject Hospital Mortality en_US
dc.subject mortality en_US
dc.subject renal dialysis en_US
dc.subject Kidney Failure, Chronic/mortality/therapy en_US
dc.subject Renal Dialysis/statistics & numerical data en_US
dc.title In-hospital mortality among incident hemodialysis older patients in Peru. en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1093/inthealth/ihz037
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE

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